@extends('admin.layouts.app')

@section('title','Edit Doctor')

@section('header')
Edit Doctor
@endsection

@section('content')

<form method="POST"
      action="{{ route('admin.doctors.update', $doctor) }}"
      enctype="multipart/form-data">

    @csrf
    @method('PUT')

    <div class="card shadow-sm mb-4">

        <div class="card-header">
            <h5 class="mb-0">
                Personal Information
            </h5>
        </div>

        <div class="card-body">

            <div class="row">

                <div class="col-md-4 mb-3">
                    <label>First Name</label>
                    <input
                        type="text"
                        name="first_name"
                        class="form-control"
                        value="{{ old('first_name', $doctor->first_name) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Middle Name</label>
                    <input
                        type="text"
                        name="middle_name"
                        class="form-control"
                        value="{{ old('middle_name', $doctor->middle_name) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Last Name</label>
                    <input
                        type="text"
                        name="last_name"
                        class="form-control"
                        value="{{ old('last_name', $doctor->last_name) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Gender</label>

                    <select
                        name="gender"
                        class="form-control">

                        <option value="Male"
                            @selected(old('gender', $doctor->gender) == 'Male')>
                            Male
                        </option>

                        <option value="Female"
                            @selected(old('gender', $doctor->gender) == 'Female')>
                            Female
                        </option>

                    </select>

                </div>

                <div class="col-md-4 mb-3">
                    <label>Date of Birth</label>

                    <input
                        type="date"
                        name="date_of_birth"
                        class="form-control"
                        value="{{ old('date_of_birth', optional($doctor->date_of_birth)->format('Y-m-d')) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>National ID</label>

                    <input
                        type="text"
                        name="national_id"
                        class="form-control"
                        value="{{ old('national_id', $doctor->national_id) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Phone</label>
                    <input
                        type="text"
                        name="phone"
                        class="form-control"
                        value="{{ old('phone', $doctor->phone) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Email</label>
                    <input
                        type="email"
                        name="email"
                        class="form-control"
                        value="{{ old('email', $doctor->email) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Address</label>
                    <input
                        type="text"
                        name="address"
                        class="form-control"
                        value="{{ old('address', $doctor->address) }}">
                </div>

            </div>

        </div>

    </div>

    <div class="card shadow-sm mb-4">

        <div class="card-header">
            <h5 class="mb-0">
                Professional Information
            </h5>
        </div>

        <div class="card-body">

            <div class="row">

                <div class="col-md-6 mb-3">
                    <label>Department</label>

                    <select name="department_id" class="form-control">

                        @foreach($departments as $department)
                            <option
                                value="{{ $department->id }}"
                                @selected(old('department_id', $doctor->department_id) == $department->id)>
                                {{ $department->name }}
                            </option>
                        @endforeach

                    </select>
                </div>

                <div class="col-md-6 mb-3">
                    <label>Specialty</label>

                    <select name="specialty_id" class="form-control">

                        @foreach($specialties as $specialty)
                            <option
                                value="{{ $specialty->id }}"
                                @selected(old('specialty_id', $doctor->specialty_id) == $specialty->id)>
                                {{ $specialty->name }}
                            </option>
                        @endforeach

                    </select>
                </div>

                <div class="col-md-6 mb-3">
                    <label>License Number</label>
                    <input
                        type="text"
                        name="license_number"
                        class="form-control"
                        value="{{ old('license_number', $doctor->license_number) }}">
                </div>

                <div class="col-md-6 mb-3">
                    <label>Qualification</label>
                    <input
                        type="text"
                        name="qualification"
                        class="form-control"
                        value="{{ old('qualification', $doctor->qualification) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Experience (Years)</label>
                    <input
                        type="number"
                        name="experience_years"
                        class="form-control"
                        value="{{ old('experience_years', $doctor->experience_years) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Consultation Fee</label>
                    <input
                        type="number"
                        step="0.01"
                        name="consultation_fee"
                        class="form-control"
                        value="{{ old('consultation_fee', $doctor->consultation_fee) }}">
                </div>

                <div class="col-md-4 mb-3">
                    <label>Joining Date</label>
                    <input
                        type="date"
                        name="joining_date"
                        class="form-control"
                        value="{{ old('joining_date', optional($doctor->joining_date)->format('Y-m-d')) }}">
                </div>

                <div class="col-md-12 mb-3">
                    <label>Notes</label>
                    <textarea
                        name="notes"
                        rows="4"
                        class="form-control">{{ old('notes', $doctor->notes) }}</textarea>
                </div>

                <div class="col-md-3 mb-3">
                    <div class="form-check mt-4">
                        <input
                            class="form-check-input"
                            type="checkbox"
                            name="status"
                            value="1"
                            id="status"
                            @checked(old('status', $doctor->status))>

                        <label class="form-check-label" for="status">
                            Active
                        </label>
                    </div>
                </div>

            </div>

        </div>

    </div>

    <button type="submit" class="btn btn-primary">
        Update Doctor
    </button>

    <a href="{{ route('admin.doctors.index') }}"
       class="btn btn-secondary">
        Cancel
    </a>

</form>

@endsection